Individual
MRS. SUSAN TRACY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
210 E 64TH ST, 4TH FLOOR- INSALL SCOTT KELLY INSTITUTE, NEW YORK, NY 10065-7471
(646) 293-7501
(646) 293-7502
Mailing address
210 E 64TH ST FL 4, INSALL SCOTT KELLY INSTITUTE FOR ORTHOPAEDICS AND SPORT, NEW YORK, NY 10065-7471
(646) 293-7501
(646) 293-7502
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
006491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006491
LICENSE NUMBER
NY
Enumeration date
11/01/2006
Last updated
12/15/2011
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